A preserved TGFβ cytostatic response through DLD-mediated metabolic modulation undermines anti-TGFβ therapy in

Yi-Qian Pan1, Yi Han1, Zheng-Yu Qian1

  • 1Sun Yat-sen University Cancer Center, State Key Laboratory of Oncology in South China, Guangdong Provincial Clinical Research Center for Cancer, Sun Yat-sen University, Guangzhou, 510060, China.

Nature Communications
|November 14, 2025
PubMed

Insights

Transforming growth factor-β (TGFβ) paradoxically suppresses gastric cancer by impairing metabolism via dihydrolipoamide dehydrogenase (DLD). Targeting this metabolic vulnerability with devimistat and anti-TGFβ agents enhances therapy.

Area of Science:

  • Oncology
  • Molecular Biology
  • Metabolic Pathways

Background:

  • The transforming growth factor-β (TGFβ) pathway is crucial in cancer, but targeted therapies have shown limited clinical success.
  • A deeper understanding of TGFβ's complex roles, including its tumor-promoting and tumor-suppressive functions, is needed.
  • Gastric cancer exhibits a paradox where TGFβ drives malignancy yet retains suppressive effects on cancer cells.

Purpose of the Study:

  • To investigate the underlying mechanisms of TGFβ's paradoxical effects in gastric cancer.
  • To identify therapeutic strategies that overcome the limitations of current TGFβ-targeted treatments.
  • To explore the role of cellular metabolism in TGFβ-mediated tumor suppression.

Main Methods:

  • Analysis of TGFβ pathway signaling in gastric cancer models.
  • Investigation of metabolic alterations induced by TGFβ, focusing on dihydrolipoamide dehydrogenase (DLD).
  • Evaluation of combination therapy using an anti-TGFβ agent and a metabolic inhibitor (devimistat) in preclinical models.

Main Results:

  • TGFβ's tumor-suppressive effect in gastric cancer is mediated by the inhibition of cellular energy metabolism through DLD modulation.
  • Broadly blocking the TGFβ pathway can release this metabolic suppression, potentially promoting tumor growth.
  • Combined inhibition of TGFβ and the metabolic vulnerability with devimistat significantly improved therapeutic efficacy in gastric cancer models.

Conclusions:

  • The therapeutic failure of anti-TGFβ agents may stem from overlooking its metabolic suppression of cancer cells.
  • Targeting the metabolic vulnerability associated with TGFβ signaling offers a promising strategy to enhance gastric cancer treatment.
  • Combination therapy with anti-TGFβ agents and metabolic inhibitors like devimistat represents a novel approach to overcome treatment resistance.

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